10/2/2018
`
`The Usage of Tablets in the Healthcare Industry | Healthcare IT News
`
`The Usage of Tablets in the
`Healthcare Industry
`
`Rauf Adil (/author/rauf-adil)
`
`https://www.healthcareitnews.com/blog/usage-tablets-healthcare-industry
`
`1/24
`
`Petitioner Apple Inc. – Ex. 1023, p. 1
`
`By
`August 02, 2012
`11:00 AM
`Since they were brought to market, the healthcare industry has
`dreamed of embracing tablets and leveraging the innovative
`technologies and features innate to these types of mobile
`devices. The ability to gather and access information with the
`touch of a ngertip, and carry it around wherever you go is
`invaluable for those working in this sector and a trend that is
`transforming the industry as we speak.
`The launch of the rst truly portable, user friendly and user
`experience (UX) rich tablet the Apple iPad, a revolutionary device
`in terms of mobile computing is changing the way in which the
`healthcare sector operates.
`Regarding the iPad and other portable tablets, the healthcare
`industry was enthusiastic about their features and abilities, yet
`slow to jump on the bandwagon and truly adopt/embrace the
`technology. The reason for this slow adoption is primarily due to
`issues including security, privacy of patient information and data
`(regulations such as HIPAA (http://www.hhs.gov/ocr/privacy/)),
`and integration with backend systems. Additionally, no one truly
`gured out how to create a compelling user experience for
`mobile applications in this space. There was a lack of
`understanding about which apps would be best suited for tablets
`in the healthcare segment.
`(http
`x )
`(http
`x )
`

`

`10/2/2018
`
`The Usage of Tablets in the Healthcare Industry | Healthcare IT News
`
`https://www.healthcareitnews.com/blog/usage-tablets-healthcare-industry
`
`2/24
`
`Petitioner Apple Inc. – Ex. 1023, p. 2
`
`This however, is all starting to change. The rapid adoption of
`tablets, including the iPad both in the consumer and enterprise
`world has put pressure on the healthcare industry to evolve and
`truly embrace this new technology. This pressure stems from
`increasingly prevalent industry trends and factors such as the
`Bring Your Own Device (BYOD) phenomena, the use of healthcare
`apps in the consumer sector, and the overall adoption of
`smartphones and other mobile devices by doctors, patients and
`vendors alike. All of these trends have brought a whirlwind of
`change to the healthcare sector.
`The pressure to evolve was felt by healthcare industry segment,
`as other segments of the industry were adapting mobile
`technologies at a rapid pace, and the healthcare industry was
`increasingly being viewed as laggards. Perceiving this weakness,
`many entrepreneurs started writing apps for this segment as
`they realized that doctors, nurses, pharmacists and other
`healthcare personnel had acquired tablets and smartphones but
`they were lacking the apps to do their day to day work using
`these devices. There was a vacuum in this space, and this
`reinforced the pressure on the healthcare industry to move fast
`and close the gap.
`Let’s take a closer look at the evolution of tablet adoption
`across the healthcare spectrum:
`Doctors and nurses were the early adopters of tablets, which is
`no surprise given they were also the early adopters of
`smartphones, and today, are the demographic that uses them
`the most in the healthcare industry. Drugstores followed doctors
`and nurses as they searched for better, more efcient and more
`convenient ways to serve consumers. Drug stores began
`leveraging tablets to offer prescription and non-prescription
`drug order applications and provide store and pharmacy
`locations as well as drug-related information to patients.
`The pharmaceutical industry followed suit by developing apps
`and tablet-friendly mobile web sites that offered important
`information about the drugs to doctors, nurses and patients
`alike. The ability to access drug-related information on the go as
`well as a patient’s allergic information at the same time helps
`

`

`10/2/2018
`
`The Usage of Tablets in the Healthcare Industry | Healthcare IT News
`
`https://www.healthcareitnews.com/blog/usage-tablets-healthcare-industry
`
`3/24
`
`Petitioner Apple Inc. – Ex. 1023, p. 3
`
`doctors and pharmacists to avoid prescribing and issuing
`medicine to patients that may cause them harm, thus saving
`lives and costly healthcare expenditure in treating unwanted
`drug interactions. Instant availability on patient and drug,
`disease and treatment information results in fewer cases of
`misdiagnosis, quicker and safer drug prescriptions, quicker
`approvals for Rx and a reduction in medical malpractice lawsuits.
`The bio-tech industry soon hopped on board as they started
`adopting tablets for collecting observation data, eld level
`monitoring and quick image capture using the highly advanced
`tablet cameras. Genentech is an example of a company that has
`embraced tablet use, having standardized and issued more than
`7,000 iPads to its employees worldwide. The tablets run
`customized native and mobile web apps that provide accurate
`reports including current state of research on the many drugs
`and treatments that Genentech is working on. It provides the
`dashboard customized for each user and a communications hub
`built on top of Apple Facetime and iChat that allows employees
`in its San Francisco headquarters to be connected over voice and
`video with eld ofces in 30 other locations worldwide. Genetech
`also uses tablets to collect the eld information and patient data
`on clinical trials. Unlike the traditional data collection methods,
`iPads enable them to record audio, video and high resolution
`images of the patients and send them for processing and
`reference in a centralized repository.
`F inally, hospitals, healthcare management facilities and
`institutions have now warmed up to the notion of tablet use.
`These organizations are starting to use tablets for patient
`monitoring, nancials, inventory updates, notications,
`communication as well as to manage task lists. Stanford medical
`Center Hospital in Palo Alto, California and its afliates across
`the nation, The University of California San Francisco (UCSF)
`medical center, Kaiser Permanente, the largest healthcare
`provider in US, The Washing ton hospital group among others
`now provides tablets to its doctors, paramedics, pharmacists and
`administrative staff. They use the tablets to schedule patient
`checkups in both outpatient and inpatient wards, issue and
`authorize prescriptions, record and transmit patient data in
`multimedia format and use instant live audio and video
`

`

`10/2/2018
`
`The Usage of Tablets in the Healthcare Industry | Healthcare IT News
`
`https://www.healthcareitnews.com/blog/usage-tablets-healthcare-industry
`
`4/24
`
`Petitioner Apple Inc. – Ex. 1023, p. 4
`
`conferencing and chat features to enhance collaboration. This
`model is being rapidly adopted across the spectrum by
`healthcare providers in the United States.
`There are several factors driving the change in how the business
`and processes run inside healthcare organizations. Healthcare
`organizations are moving from traditional methods of
`information collection and retrieval to a mobile and on site and
`on demand collection, retrieval, collaboration and
`communication in the healthcare sector. Some of these changes
`are being driven by the doctors, some by patients and others by
`pharmacies. Additionally, bio-tech and pharmaceutical
`companies are in erce competition which forces them to evolve
`and embrace new technology if they wish to be successful. On
`the provider side, no hospital or healthcare provider wants to be
`tagged as laggard and outdated in terms of technology adoption,
`which is causing these institutions to embrace tablets. It’s
`interesting to note that according to data collected by Manhattan
`Research, 81% of physicians used a Smartphone in 2011, up from
`72% in 2010. Doctors, nurses and patients are demanding access
`to information on their tablets and smartphones, which is driving
`organizations to embrace tablets.
`In a separate study conducted by American Electronics
`Association, doctors and patients were asked about how they
`would like to use wireless devices (smartphones and tablets).
`Most of the respondents wanted to use their device to
`communicate with their doctors, pharmacists and nurses and
`vice versa. Many of them also want to be able to store and
`access their healthcare records including diagnostic records
`online through the mobile device.
`The gure below explains the questions asked and the response
`in detail:
`

`

`10/2/2018
`
`The Usage of Tablets in the Healthcare Industry | Healthcare IT News
`
`https://www.healthcareitnews.com/blog/usage-tablets-healthcare-industry
`
`5/24
`
`Petitioner Apple Inc. – Ex. 1023, p. 5
`
`What specic applications in the consumer and enterprise space
`are driving tablet adoption?( Conversely, what apps are driven
`by the adoption of tablets in the enterprise?).
`The biggest use of tablets is driven by the fact that patients feel
`the need to stay in touch with their healthcare providers
`including doctors, nurses, pharmacists and health plan
`administrators at all times. Patients are connected to their
`mobile devices 24/7, creating a natural platform from which they
`can interact with their healthcare providers through applications.
`A Healthcare IT Insights and Opportunities’ study conducted by
`CompTIA (http://bit.ly/CompTIAHealthCareITInsights) found that
`38% of physicians with smartphones use medical apps on a daily
`basis. This gure is expected to rise to 50% by the third quarter
`of 2012. It was also found that two-thirds of respondents
`consider implementing or improving mobile technologies to be a
`high or mid-level priority. Within clinics, doctor’s ofces,
`hospitals and laboratories, the biggest usage of tablets stems
`from four main areas:
`• Patient monitoring and data collection – this includes using
`the Bluetooth enabled sensor devices and Wi-F i+ Bluetooth
`enabled interfaces to patient monitoring devices, to medical
`instruments that can transmit information to the tablet when in
`the vicinity.
`• Dashboard and Reports – covering patients, prescriptions,
`

`

`10/2/2018
`
`The Usage of Tablets in the Healthcare Industry | Healthcare IT News
`
`https://www.healthcareitnews.com/blog/usage-tablets-healthcare-industry
`
`6/24
`
`Petitioner Apple Inc. – Ex. 1023, p. 6
`
`diagnostics, legal, nancial and operational information
`summaries and details
`• Appointment scheduling – this includes doctor and nurse
`visits, laboratory tests, reminders, re-scheduling, cancellations
`and delegation, doctor to assistant/junior doctor, nurse etc.
`• Prescriptions, authorizations, rells, patient-drug interaction
`and dosage management. Fast and timely approval of Rx rells
`and Rx authorizations means the difference between life and
`death in many cases and this is an area that smartphones and
`tablets help in reducing the turnaround time required by doctors
`to approve the requests from pharmacies and patents by up-to
`90%.
`What are the key advantages of using the tablets in healthcare
`space?
`• Tablets avoid cumbersome and error prone human data entry.
`They eliminate human introduced errors such as in data entry by
`feeding in data form patient care systems.
`• Tablets eliminate the need to record information on paper
`and enter into systems. This saves time, energy, money and
`improves efciency.
`• Easy information access: Tablets provide rapid access to
`information wherever healthcare personnel need it
`• Paperwork minimization: Tablets help minimize the messy
`paperwork and the manual workow process – again, increasing
`efciencies
`• Voice, Video, Image and Text: The visual, multimedia (audio,
`video) and graphics capabilities can be leveraged to record and
`provide on demand information such as the visual images of a
`patient, disease progression and sounds, such as an irregular
`heartbeat.
`• Communication capability: Allows doctors, nurses and other
`healthcare personnel to communicate virtually and more
`effectively
`• Privacy and Security of data: The iPad and similar tablets
`provide 128 and even 256 bit encryption of data on storage and
`transmission. This minimizes data leak and security violations
`from manual handling of un-encrypted paper forms and other
`hard copy documents
`

`

`10/2/2018
`
`The Usage of Tablets in the Healthcare Industry | Healthcare IT News
`
`https://www.healthcareitnews.com/blog/usage-tablets-healthcare-industry
`
`7/24
`
`Petitioner Apple Inc. – Ex. 1023, p. 7
`
`Where is the industry headed?
`Tablets are gaining an increasing foothold in the healthcare
`sector across all segments. Tablets are improving patient care
`wellness programs, hospitals, laboratories, clinic management
`systems, pharmaceutical services and bio-technological
`advancements.
`With doctors increasingly using their own tablets to manage and
`maintain their schedules and reminders, the healthcare
`organizations are now forced on building applications that are
`optimized for tablets. These applications provide the
`integration of existing information systems, and introduce
`tablets as a form for both data gathering and dissemination of
`critical information.
`New and emerging advancements in technology have enabled
`patient monitoring devices and instrumentation to communicate
`directly with tablets within a vicinity using tools such as
`Bluetooth. These devices can also upload patient data using a
`Wi-F i network over the web, which can then be monitored in real
`time by nurses and doctors.
`Increasingly sophisticated apps are being created, which cater to
`all aspects of healthcare management for usage by both
`healthcare personnel and patients. These apps range from
`providing dashboards for patient information, disease and
`condition monitoring to patient data collection and
`consolidation. Apps also help with business intelligence and
`analytics, scheduling and calendar management, prescription
`dispensing, pharmaceutical rells and authorizations, drugs and
`new treatment information, collaboration, and communication.
`In terms of tablet adoption in the healthcare industry, we have
`only begun to scratch the surface. With technological
`advancements increasing by the day, the possibilities are
`endless as healthcare professionals continue to search for better
`ways to provide care.
`
`Rauf Adil is director of technology at Virtusa.
`

`

`10/2/2018
`
`The Usage of Tablets in the Healthcare Industry | Healthcare IT News
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